A client is admitted to the hospital with a suspected deep vein thrombosis (DVT). Which question should the nurse ask during the health history to identify potential risk factors for DVT?

"Do you have a family history of high cholesterol?"

"Have you ever been diagnosed with asthma?"

"Have you recently traveled on a long flight?"

"Do you take any medications for diabetes?"

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because a family history of high cholesterol is not directly related to DVT risk. While high cholesterol may contribute to other cardiovascular conditions, it is not a primary risk factor for DVT.

B) This choice is incorrect because a history of asthma is not a direct risk factor for DVT. Asthma is a respiratory condition and is not significantly associated with blood clot formation.

C) This choice is correct. Prolonged immobility during long flights, especially in cramped spaces, is a known risk factor for DVT. This condition is often referred to as "economy class syndrome" due to its association with long-haul flights in tight seating.

D) This choice is incorrect because the use of medications for diabetes does not directly relate to DVT risk. While some medications may influence blood clotting, diabetes itself is not a primary risk factor for DVT.

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Correct Answer is B

Explanation

A) This choice is incorrect because while monitoring blood pressure is essential, it is not the priority action for clients on anticoagulant therapy. The primary concern is assessing the client's response to the medication and their risk of bleeding.

B) This choice is correct. Monitoring the client's prothrombin time (PT) and international normalized ratio (INR) is crucial in assessing the effectiveness of anticoagulant therapy. The PT and INR measure how long it takes the blood to clot and help determine the appropriate dosage of anticoagulants to achieve the desired therapeutic effect.

C) This choice is incorrect because checking the client's blood glucose levels is not directly related to monitoring the response to anticoagulant therapy. Blood glucose monitoring is essential for clients with diabetes but not a priority in this context.

D) This choice is incorrect because evaluating the client's respiratory rate and pattern is not the priority action for monitoring the response to anticoagulant therapy. Respiratory assessment is vital in detecting potential complications like a pulmonary embolism but does not directly assess the client's anticoagulation status.

Questions

A. Performing isometric exercises hourly. B. Wearing graduated compression stockings. C. Limiting fluid intake to reduce blood volume. D. Avoiding elevation of the legs while resting.

Correct Answer is B

Explanation

A) This choice is incorrect because while isometric exercises can promote blood flow, the recommended preventive measure for DVT is wearing graduated compression stockings. Exercises alone may not be sufficient to prevent clot formation.

B) This choice is correct. Graduated compression stockings apply pressure to the lower extremities, improving blood flow and reducing the risk of stasis and clot formation. They are commonly used as a preventive measure for clients at risk of DVT, particularly after surgery or during prolonged immobility.

C) This choice is incorrect because limiting fluid intake is not a preventive measure for DVT and may not be safe or appropriate for all clients. Adequate hydration is essential to maintain blood volume and circulation.

D) This choice is incorrect because elevating the legs while resting is a recommended measure to improve blood flow and reduce edema, which can be beneficial. However, wearing graduated compression stockings is a more specific preventive measure for DVT.

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A client is admitted to the hospital with a suspected deep vein thrombosis (DVT). Which question should the nurse ask during the health history to identify potential risk factors for DVT?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with deep vein thrombosis (DVT) is prescribed anticoagulant therapy. What is the nurse's priority action in monitoring the client's response to the medication?

Correct Answer is B

Explanation

A client recently underwent surgery and is at risk of developing deep vein thrombosis (DVT). What preventive measure should the nurse recommend to the client?

Correct Answer is B

Explanation

A client is at high risk for deep vein thrombosis (DVT) due to immobility. What should the nurse implement as a preventive measure for this client?

A nurse is caring for a client with suspected deep vein thrombosis (DVT). Which diagnostic test is used to assess blood flow and detect clots in the deep veins of the legs non-invasively?

A nurse is assessing a client for deep vein thrombosis (DVT). Which assessment technique should the nurse prioritize to identify DVT-related clinical manifestations?

A client with deep vein thrombosis (DVT) is at risk of developing a pulmonary embolism. What assessment finding should the nurse prioritize to detect potential complications?

A nurse is assessing a client for possible deep vein thrombosis (DVT). Which clinical manifestation is most indicative of DVT?

A nurse is explaining the diagnostic tests for deep vein thrombosis (DVT) to a client. Which test is considered the gold standard for diagnosing DVT?

A nurse is caring for a client with deep vein thrombosis (DVT). What is the primary goal of treatment for this client?

A nurse is providing education to a client with deep vein thrombosis (DVT) about potential complications. Which symptom should the nurse instruct the client to report immediately?